Random thoughts from a few cantankerous American physicians. All contributors are board certified. Various specialties are represented here. I do not know where this will lead but hope it will at least be an enjoyable read. All of the names mentioned in this blog are pseudonyms, the ages have been changed, and in half the cases the gender as well. All photographs are published with patient consent or are digitally altered to preserve anonymity. Trust us, we're doctors.

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Thursday, July 16, 2009

The AMA is on board with Obama care. Shocker. I will wait with baited breath for anyone to explain to me why a scheme that has failed in other countries and is crazy on its face should be endorsed by our National Organization (other than money and power for those who shied away from the fight with the latest teen idol). Screw you AMA. Go see the movie "Brazil", it's coming here for medicine. I will be available for a reasonable fee to help you out with all your medical needs. In fact, I am on "JustAnswer" as a medical expert right now and am really enjoying answering medical questions for 7-8$. So far, folks seem to like me. We are in a spiritual and cultural upheaval, our choices will affect generations to come. We are making bad decisions, decisions that place corporate responsibility over personal responsibility and mediocrity, of the particularly numbing and maddening kind, will be the result.

I work in college health and all I hear is how much we need universal health care, and how great the Canadian health care system works. Sure it works well if you don't have to use it; God help you if your sick. Big Hollywood posted a hidden video by Steven Crowder of the Canadian system in action. This guy would have had to wait at least 10 hours just to have an injured wrist looked at by a doctor. He'd have to wait 2-3 YEARS just to get assigned to a primary care physician. The nurse told him it was a good thing he was young!

Most of the students at the college I work at don't have health insurance, but they have the latest cell phones with more minutes than I will ever have. They'll pay a bundle for their cell phone service, but squawk at having to spend $10 for Z-Pak. Unbelievable.

the success of Emergency Medicine has added to the current crisis because we CAN do it all quickly. the government, in its infinite wisdom, has taken this excellent situation and said, 'you guys really do a good job, do it for free.' i am past anger, past trying to figure it out, past hope, and about to stop practicing ER med. i know i have been talking about getting out for a long time, but i actually now have another job where i will see snotty noses and well kids. it won't be exciting, but my health and family come first.

when you have people who are invaluable you should treat them as such. i have no idea why this is not the case in medicine, but doctors are treated as an 'everlasting gobstopper'. we are leaving, and leaving in droves.

having a 'paper doctor' may be fine when you are well, but watch the graphs on death from trauma and heart attacks in the next ten years. they will spike, and quickly. there will not be the warm bodies to do what we do. i get two calls a day right now from recruiters trying to get me to go to California or Wisconsin to work in some ER. I expect those calls will increase in frequency and urgency soon.

We have elected a fool. If he's not a fool then he's evil to the core.

I am not nor have I ever been a member of the AMA (American Marxist Asskissers). Stop pushing all this shit down our throats. And stop with the lies. Oh my God, 47 million uninsured, 47 million uninsured. Let's look at the numbers..U.S. Census 2006 (go look it up)- 9.5 million are NOT U.S. citizens..I am not paying shit for them. 17 million make more than 50,000/year per household--hey dipshits, you gotta take the 60 inch plasma back and get insurance or PAY CASH for your care. Most of the rest are 18-34 year olds who are generally healthy and might only need a catastrophic policy. So that leaves a few who usually are already covered under our bankrupt Medicaid or Medicare. The patients have taken over the asylum.

Be nice the the recruiters calling you.... =( You don't gotta spend any time with them if you're not interested, and I know your not, but trust me, as someone who has made 150 of those calls in a day, it's the Docs yelling at you that drives you to happy hour.

We're getting pushed hard by the Hospital/Group, too.

Oh, and it's not to say that there are *no* good parts about the business, getting a Doctor the perfect job for him/her does feel good, and it's why I still do it.

I am an ICU nurse and I think the way to save money would be to stop torturing the dying and the futile. Yes intubate and code and operate on my 85 Yr old grandfather.. keep him alive for weeks and thousands of dollars to only die anyway. Yes trach and peg my paralyzed and nearly brain dead husband so he may live in a nursing home as a vegetable and die of sepsis in 2-3 months or less. when as a soceity did we decide that death is unacceptable and not reality? when did we allow the public to be so sue happy that good doctors are afraid to stand up and say enough is enough.

Did the AMA happen to notice that the 1000 or so pages of this "Bill" has no verbage regarding TORT reform, without which no doctor will allow himself not to order that CT/US (or any other diagnostic test), just because some pencil pusher says it's not needed, if there is any chance that some scum sucking lawyer will sue if it isn't done. You can't have one reform without the other.

I am on strike. I am on strike against those who feel it is there right to have what they have not worked for. I am on strike against those who feel entitled to what I have worked for. I am on strike against those who would use me and my talent. If only I could go on strike...tell me how.

Not to worry....the ANA did the same ass kissing job on the Obamaessiah's behind. They have NEVER met a socailist cause they didn't love, which is why they have never gotten a red cent out of this RN.....and 90% of my peers!